Individual provider Active NPI

Rushmi Reehal, PA-C

  • Physician Assistant
  • Upland, CA
National Provider Identifier
1780959742
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 21858 Issued in CA
Practice address
1382 E Foothill Blvd
Upland, CA 91786-4014
Phone
(909) 982-6500
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 21858 CA Primary

Addresses

Primary practice location

1382 E Foothill Blvd
Upland, CA 91786-4014

Mailing address

1382 E Foothill Blvd
Upland, CA 91786-4014
Phone (909) 982-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129001679 CA Practitioner - Physician Assistant 6507173879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western University of Health Sciences College of Dental Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Girard a Medical CorporationGroup PAC ID 2668805748, 2 clinicians

Practice addresses (Care Compare)

425 S Fair Oaks Ave
Suite a
Pasadena, CA 91105-2632
Phone (626) 449-1814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 21858CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David a Girard a Medical Corporation CurrentSince Feb 1, 2026 Accepting new patients

Locations

425 S Fair Oaks Ave
#A
Pasadena, CA 91105
Phone (626) 449-1814

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1780959742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864014",
            "telephone_number": "909-982-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 E FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864014",
            "telephone_number": "909-982-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEHAL",
        "first_name": "RUSHMI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 21858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.